req_read

req_read

Med-Surg, ER, ICU, Hospice

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All Content by req_read

  1. Managing symptoms for a �good death�

    req_read replied to NRSKarenRN's topic in Hospice, Palliative

    tencat… It has long seemed to me that dying process is unique in that it provides glimpses into the very essence of things… of human beings… and of the very nature of reality. Yet we don’t...

  2. OIG releases report on a Medicare Hospice in Nursing Homes

    req_read replied to doodlemom's topic in Hospice, Palliative

    doodlemom... Thanks.

  3. Managing symptoms for a �good death�

    req_read replied to NRSKarenRN's topic in Hospice, Palliative

    Chybil… I was gone a couple of days. The 2nd half of the story about the student and his guru has to do with how we think about or rate reality. We (westerners anyway) think of things like...

  4. Managing symptoms for a �good death�

    req_read replied to NRSKarenRN's topic in Hospice, Palliative

    Leslie... Thank you.

  5. Medicare Probe

    req_read replied to PeacePisceRN's topic in Hospice, Palliative

    OneThunder… Why are nursing homes so heavily regulated? We “run the risk” of providing healthcare on the basis of geographic location all the time (which you say is discriminatory),...

  6. Managing symptoms for a �good death�

    req_read replied to NRSKarenRN's topic in Hospice, Palliative

    Chybil… I don’t mind kidding around at all. I enjoy it immensely. The ideas & concepts raised by the great thinkers of our time are indeed puzzling. But in a very real sense, that is the...

  7. Medicare Probe

    req_read replied to PeacePisceRN's topic in Hospice, Palliative

    OneThunder… No, the constitution does not give Americans, as you say, the RIGHT to healthcare. Neither does it give nursing home patients the RIGHT to hospice care. It is interesting the way you...

  8. Medicare Probe

    req_read replied to PeacePisceRN's topic in Hospice, Palliative

    OneThunder… I must confess that I am not sure what your point is… other than being against anything I say. As near as I can tell you seem to be saying that the status quo with hospice &...

  9. Managing symptoms for a �good death�

    req_read replied to NRSKarenRN's topic in Hospice, Palliative

    sharona97… I’m glad you enjoyed it… a welcome switch from the tedium of school perhaps? Chybil… When Einstein states that the world is an illusion I would not be so quick to dismiss it. He...

  10. Medicare Probe

    req_read replied to PeacePisceRN's topic in Hospice, Palliative

    OneThunder… Actually hospice was originally designed to care for dying people in their home. It was not until some time later that hospice was given the go-ahead to provide services in nursing...

  11. Managing symptoms for a �good death�

    req_read replied to NRSKarenRN's topic in Hospice, Palliative

    Chybil… Good idea. Enjoy the fragrance! However, this stuff (thinking about things like life, death and reality) is my flower… the fragrance I enjoy (one of them anyway.) Yes, everyone’s death...

  12. Managing symptoms for a �good death�

    req_read replied to NRSKarenRN's topic in Hospice, Palliative

    Hi Leslie, and thanks… At the bottom of my post-before-last I stated, “I have heard it said that non-physical entities do not experience pain the way we do.” I expected someone to jump me on...

  13. Medicare Probe

    req_read replied to PeacePisceRN's topic in Hospice, Palliative

    OneThunder... That is a separate issue. Just as in the article in question, where a hospice nurse spends her day helping the elderly, rural poor manage their meds and turn sweet potatoes in the...

  14. Managing symptoms for a �good death�

    req_read replied to NRSKarenRN's topic in Hospice, Palliative

    tencat… Yes, when people can die consciously and peacefully it is truly wonderful. Which underlines the need for studying dying process systematically, thoroughly and scientifically....

  15. Managing symptoms for a �good death�

    req_read replied to NRSKarenRN's topic in Hospice, Palliative

    Miss_Chybil... Thank you for the beautiful post! It is an example of the truism that wisdom lies not so much in having the right answers, but rather in having good questions. No... probably none of...

  16. Recommended Reading for Hospice Nurses

    req_read replied to introspectiveRN's topic in Hospice, Palliative

    Allow Mystery… I may have had a fly or some wax in my ear, but I think the hospice nurse in Two Weeks actually said “millimeters” instead of “milligrams” when talking about adjusting the...

  17. Medicare Probe

    req_read replied to PeacePisceRN's topic in Hospice, Palliative

    aimeee… How refreshingly honest… an “administrative type” practicing the art of self-awareness. And how perfectly appropriate for a hospice nurse, since that is exactly what dying people...

  18. Medicare Probe

    req_read replied to PeacePisceRN's topic in Hospice, Palliative

    It boggles my mind that as high as (see the article in question… the figure varies depending on who you ask and what their motives are) 10% of hospice agencies are exceeding their cap. I really do...

  19. Medicare Probe

    req_read replied to PeacePisceRN's topic in Hospice, Palliative

    aimeee, Thank you for your comprehensive post. Having run a hospice myself and worried about the cap, only to discover I could never get near it anyway (at least not so long as a modicum of integrity...

  20. Medicare Probe

    req_read replied to PeacePisceRN's topic in Hospice, Palliative

    doodlemom, Are they (your ethical agency) hiring?

  21. Medicare Probe

    req_read replied to PeacePisceRN's topic in Hospice, Palliative

    I hope you're right doodlemom. It really does seem like the preponderance of hospice nurses (or at least the ones involved with this forum) function at a pretty high ethical level. That does not...

  22. Recommended Reading for Hospice Nurses

    req_read replied to introspectiveRN's topic in Hospice, Palliative

    This evening my wife & I watched the movie “Two Weeks.” Sally Fields stars as the hospice patient… very well done… a couple of little glitches but very well done all in all. I recommend...

  23. Medicare Probe

    req_read replied to PeacePisceRN's topic in Hospice, Palliative

    Personally, I could never figure out why Medicare ever approved hospice in nursing homes in the first place. It is a classic example of double-dipping; i.e. paying 2 different providers for the same...

  24. Medicare Probe

    req_read replied to PeacePisceRN's topic in Hospice, Palliative

    I was aware reimbursement rates varied by region but had no idea how much. According to the article, the majority of hospices having to repay Medicare are in the south & west. I wonder if that...

  25. Medicare Probe

    req_read replied to PeacePisceRN's topic in Hospice, Palliative

    multicollinearity… Very interesting article… thanks. Previously (in this thread) I made some dollar calculations that I said were conservative. They were based on $120/day for routine home care....